| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,026.61 | $1,026.61 | $1,026.61 | |
BCBS
| Professional | $327.00 | $327.00 | $327.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $204.70 | $255.88 | $521.78 |